Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $5,370.32 / $8,511.38	Facility		$1,023.29	$5,370.32	$8,511.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,011.87 / $6,025.60 / $6,025.60	Facility	50	$5,011.87	$6,025.60	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $630.96 / $1,445.44	Professional		$436.52	$630.96	$1,445.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $316.23 / $954.99 / $4,168.69	Professional	50	$316.23	$954.99	$4,168.69
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,165.95 / $57,543.99	Facility		$5,011.87	$6,165.95	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $645.65 / $1,122.02	Professional		$630.96	$645.65	$1,122.02
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $933.25 / $977.24 / $1,698.24	Professional	50	$933.25	$977.24	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $575.44 / $954.99	Professional		$389.05	$575.44	$954.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $1,096.48	Professional		$794.33	$794.33	$1,096.48
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $645.65 / $1,071.52	Professional		$436.52	$645.65	$1,071.52
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.50 / $4,897.79 / $11,220.18	Facility		$0.50	$4,897.79	$11,220.18
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $10,471.29 / $10,471.29 / $10,715.19	Facility	50	$10,471.29	$10,471.29	$10,715.19
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $741.31 / $831.76	Professional		$562.34	$741.31	$831.76
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,265.80 / $8,511.38	Facility		$1,023.29	$4,265.80	$8,511.38
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $5,011.87 / $5,011.87 / $6,025.60	Facility	50	$5,011.87	$5,011.87	$6,025.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $660.69 / $1,548.82	Professional		$426.58	$660.69	$1,548.82
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $316.23 / $2,818.38 / $4,168.69	Professional	50	$316.23	$2,818.38	$4,168.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $1,230.27	Professional		$645.65	$645.65	$1,230.27
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $575.44 / $630.96	Facility		$436.52	$575.44	$630.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $575.44 / $630.96	Professional		$407.38	$575.44	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,548.13 / $7,585.78	Facility		$1,348.96	$3,548.13	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $602.56 / $977.24	Professional		$407.38	$602.56	$977.24